A leading principle of high-value practice is utilization of tests and treatments in accordance with established clinical practice guidelines. To reinforce this practice, we designed this educational program for 3rd year of medical school, which incorporates appropriate use principles for imaging exams, lab tests, medications, transfusions and other treatments. An understanding of the evidence behind appropriate use and data confirming that care refinement maintains or improves patient care quality and safety are important to drive adherence. Half of the content is dedicated to appropriate use of imaging exams, as they are high cost tests for patients and to ensure that clinicians are prepared for the CMS Appropriate Use Program beginning January 2020, which includes evaluation of their ordering appropriateness for advanced imaging (CT, MRI and nuclear medicine examinations).
Internal Medicine
- headache
- TIA and stroke
- chest pain (30 min)
- suspected pulmonary embolism
- targeted antibiotics for LRTI
- suspected or known lung cancer
- breast imaging (screening, mass, pain)
- abdominal pain (30 min)
- urine cultures: do’s and don’ts
- low back pain
- cellulitis and mimics: imaging and antibiotics
- low value labs
- inpatient hypertension
- hospital acquired AKI
- C difficile testing
- transfusions
- VTE prophylaxis
- managing incidental findings
Surgery
- suspected pulmonary embolism
- targeted antibiotics for LRTI
- abdominal pain
- urine cultures: Do’s and Don’ts
- inpatient hypertension
- hospital acquired AKI
- C difficile testing
- transfusions
- VTE prophylaxis
- optimizing catheters (midline vs PICC line)
- managing incidental findings
Emergency Medicine
- headache
- dizziness
- nonneurologic syncope
- TIA and stroke
- neck pain
- shoulder pain
- chest pain
- suspected pulmonary embolism
- targeted antibiotics for LRTI
- abdominal pain
- low back pain
- pelvic pain
- urine cultures: do’s and don’ts
- hip pain
- cellulitis and mimics: imaging and antibiotics
- managing incidental findings
Neurology
- headache
- dizziness
- TIA and stroke
- nonneurologic syncope
- neck pain
- low back pain
- paraneoplastic syndrome: labs and imaging
OB-GYN
- pelvic pain
- urine cultures: do’s and don’ts
- managing incidental findings (including ovarian cysts)
- transfusions
- VTE prophylaxis
